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General NPI Number Information
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NPI Number | 1104172279
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Entity Type | Organization
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Legal Business Name | SUREPOINT MEDICAL LLC
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 373 INVERNESS PKWY STE 206
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5898
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Country | US
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Telephone | 866-351-2636
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Fax | 866-367-7936
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Provider Business Mailing Address
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Address Line | 373 INVERNESS PKWY STE 206
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City | ENGLEWOOD
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State | CO
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Zip | 80112-5898
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Country | US
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Telephone | 866-351-2636
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Fax | 866-367-7936
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MR. GREGORY SCHRECK
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Credential |
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Telephone | 866-351-2636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5912
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License Number State | CO
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